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Review
. 2022 Oct 17;11(20):6106.
doi: 10.3390/jcm11206106.

Summary: 2021 International Consultation on Incontinence Evidence-Based Surgical Pathway for Pelvic Organ Prolapse

Renaud de Tayrac  1 , Danielle D Antosh  2 , Kaven Baessler  3 , Cecilia Cheon  4 , Xavier Deffieux  5 , Robert Gutman  6 , Joseph Lee  7 , Charles Nager  8 , Alexis Schizas  9 , Vivian Sung  10 , Christopher Maher  11
Affiliations
Review

Summary: 2021 International Consultation on Incontinence Evidence-Based Surgical Pathway for Pelvic Organ Prolapse

Renaud de Tayrac et al. J Clin Med. .

Abstract

(1) Background: There is wide variation in the reported prevalence rates for pelvic organ prolapse (POP). There is also wide variation in the rate at which surgical interventions for pelvic organ prolapse are performed, as well as the type of interventions undertaken. As part of the International Consultation on Incontinence (ICI), our committee was tasked to produce evidence-based pathways for the surgical management of POP, any associated stress urinary incontinence (SUI), and bowel dysfunction. (2) Methods: To enable us to generate such evidence, we undertook a thorough search for the POP surgery-related, English-language scientific literature published up to April 2021. (3) Results: The committee evaluated the literature and made recommendations based on the Oxford grading system. (4) Conclusions: This review serves to provide a summary of the 2021 ICI surgical management of an evidence-based prolapse pathway and outline the evidence used to inform this guidance.

Keywords: POP; guideline; mesh; pelvic organ prolapse; repair.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Suggested surgical pathway for prolapse repair with coexisting bowel symptoms.
Figure 2
Figure 2
Decision-making flowchart for women undergoing prolapse surgery with or without SUI.
Figure 3
Figure 3
ICI 2021 pathways for surgical treatment of POP.
See this image and copyright information in PMC

References

    1. Olsen A.L., Smith V.J., Bergstrom J.O., Colling J.C., Clark A.L. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet. Gynecol. 1997;89:501–506. doi: 10.1016/S0029-7844(97)00058-6. - DOI - PubMed
    1. Smith F.J., Holman C.D.J., Moorin R., Tsokos N. Lifetime Risk of Undergoing Surgery for Pelvic Organ Prolapse. Obstet. Gynecol. 2010;116:1096–1100. doi: 10.1097/AOG.0b013e3181f73729. - DOI - PubMed
    1. Wu J.M., Matthews C.A., Conover M., Pate V., Funk M.J. Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse Surgery. Obstet. Gynecol. 2014;123:1201–1206. doi: 10.1097/AOG.0000000000000286. - DOI - PMC - PubMed
    1. Phillips C., Anthony F., Benyon C., Monga A.K. Urogynaecology: Collagen metabolism in the uterosacral ligaments and vaginal skin of women with uterine prolapse. Int. J. Obstet. Gynaecol. 2005;113:39–46. doi: 10.1111/j.1471-0528.2005.00773.x. - DOI - PubMed
    1. Nygaard I. Prevalence of Symptomatic Pelvic Floor Disorders in US Women. J. Am. Med. Assoc. 2008;300:1311–1316. doi: 10.1001/jama.300.11.1311. - DOI - PMC - PubMed